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Hip/Pelvis Special Tests

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Special Test
Tests for...
Positive (+) Test
Patrick/FABER   iliopsoas spasm, SI dysfunction   thigh does not lower; posterior pain (SI) or anterior pain (iliopsoas)  
Gaenslen's   SI joint dysfunction, L4 nerve lesion   pain in the SI region  
Spring   SI joint mobility   pain is elicited  
Pelvic (Iliac) Compression   integrity of SI ligaments due to sprain/irritation   pain at the SI joints  
Anterior Pelvic Distraction (Gapping)   integrity for anterior SI ligaments   pain in the gluteals, legs, increased laxity  
Posterior Distraction (Hibb's)   integrity of posterior SI ligaments   greater laxity on injured side  
Sacral Fixation (Gillett's)   SI joint hypomobility, adhesions   position of the PSIS remains level  
Femoral Nerve Traction   nerve pathology L2-L4   pain, numbness, tingling radiating to groin and/or anterior thigh  
Trendelenberg Sign   gluteus medius weakness   NWB hip drops away from WB hip  
Thomas Test   tight hip flexors (iliopsoas)   involved thigh flexes off table and back does not flatten against table  
Kendall (Rectus Femoris Contracture)   tight rectus femoris   involved knee moves into EXT  
Ely's   tight rectus femoris   hip on involved side spontaneously FLEX  
Ober's   ITB and TFL tightness   hip stays ABD or pelvis moves before hip is ADD  
Nobel's   ITBS   pain at about 30 degrees from full knee EXT  
Renne's   ITB Integrity   pain at 30-45 degrees of knee FLEX at lateral femoral condyle  
Tripod Sign (Hamstring Contracture)   hamstring contracture   athelte will EXT trunk to relieve pain in hamstrings upon knee EXT  
90/90 Straight Leg Raise   hamstring contracture   knee FLEX is greater than 20 degrees to knee EXT  
Piriformis   piriformis tightness   pain in piriformis; resultant sciatica  
Fulcrum   femoral stress fracture   sharp pain, apprehension flet when fulcrum arm is under the potential fracture site  
Hip Scouring (Quadrant)   arthritis, osteochondral defects, avascular necrosis, acetabular labral defects   pain, apprehension, catching, grinding, reproduction of symptoms  
Leg Length   anatomical or funcitonal leg length discrepancies   difference in length >.25"  
Limb Girth   atrophy/swelling of limb   difference in girth as compared bilaterally  
Anatomical Leg Length   leg length discrepancy   difference in length >.25" as measured from medial malleolus to ASIS  
Funcitonal Leg Length   leg length discrepancy   difference in length >.25" as measured from medial malleolus to umbilicus  


   


 

 

 
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